BLOOM on ZOOM! (WAITLIST)

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THIS CLASS IS NOW FULL AND FURTHER SIGN-UPS WILL BE PLACED ON A WAITLIST IN CASE OF NO SHOWS.

This is the sign up for Spark LeoNimm's SU-CASA funded Clown Course for Seniors. Please fill it out ASAP and no later than May 25th in order to participate in the 5 week course on Fridays from 10am to 12pm, from May 28th to June 25th. Participation will be limited to 12 people. You will notified by June 26th about your participation in the program, if not sooner. For more information or to ask a question, write Spark at bobada123@yahoo.com

Email *

Name *

Preferred Name or Nickname

Are you 55 years old or older? *

Yes

Are you available on Fridays from 10am to Noom, from May 28th to June 25th for five consecutive weeks? *

Yes

Other:

What are your pronouns? (He/She/They/etc...)

Phone *

My ability to join Zoom meetings *

I am very familiar with Zoom and use it all the time.

I don't have it installed and barely know how to use my computer

Is there anything else you would like the teacher to know?

Full Mailing Address for Receiving Packages *

Submit

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